
TASK: Please classify the relationship between the given premise and hypothesis into one of the following labels: entailment, contradiction, or neutral. Return only the label.
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INPUT: [PRE] 61 yo M with s/p AVR x 2 (last in [**2701**]) with recent echo showing increased gradient and thickened/defromed leaflets. [HYP]  The patient has normal heart valves. 
OUTPUT:

entailment contradiction neutral