Miss Susan Cushing of Croydon receives a parcel in the post that contains two severed human ears packed in coarse salt. Inspector Lestrade of Scotland Yard suspects a prank by three medical students whom Miss Cushing was forced to evict because of their unruly behaviour. The parcel was sent from Belfast, the city of origin of one of the former boarders. Upon examining the parcel himself, Holmes is convinced that it is evidence of a serious crime. He reasons that a medical student with access to a dissection laboratory would likely use something other than plain salt to preserve human remains, and would be able to make a more precise cut than the roughly hacked ears suggest.