Here is a few more spoilers that just arrived......
Close to the beginning of the episode we see Horatio and Natalia being rushed into the E.R leaving Eric and Calleigh stunned and completely speechless. As Natalia struggles to stay focus she sees Randy North being led by a nurse with a bloody shoulder. Natalia tries to removes the oxygen mask but the nurse stops her and tells her to keep it on. Natalia insist and rolls off the gurney then walks towards 'Randy', while his back is towards her and slowly moving away she reaches out ripping the man's shoulder making the man turn around and Natalia realizing that he is not Randy North.
Source: LFCSIMiami
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