With the Six of Pentacles reversed, we can say that the answer to the question about the health of Elisa, your younger sister, will not be positive. This card represents a great sign of concern, especially due to her reverse orientation. It means that Elisa may not be in good health and be vulnerable to illnesses and health problems.
Temperance reversed suggests that Elisa may be suffering from some health problem or even experiencing a decline in her overall health. This means that she will not be able to maintain a good balance between mind and body. Elisa's health could be compromised and she would require constant care.
Based on the cards, we can say that the answer to the question about the health of Elisa, your younger sister, is "No". The cards show a big sign of concern and the situation could be quite difficult for her. You are therefore advised to pay particular attention to Elisa's health and do everything possible to ensure that she is well cared for.