PDFs can contain more than pages
The format allows embedded JavaScript that runs when the document opens, complete files attached inside it, and actions that ask to launch an external program. All of these are legitimate features and all of them are used by attackers. Knowing they are present before you open the document is useful in itself.
Comments survive being collapsed
Annotations added during review stay in the file whether or not your viewer displays them. Forwarding a reviewed PDF often forwards the review with it.
Reading a file is not opening it
This page inspects the bytes of the document rather than rendering it, so nothing inside it executes. If the report shows embedded JavaScript in a PDF you were not expecting, that is a good reason not to open it at all.