It compares structure, not content
Two PDFs are checked on page count, each page's dimensions, and the title, author, creator and producer properties.
The report lists every difference it finds across those points: a page present in one file and not the other, a page whose size changed, or a property that differs. What it never does is read the words on the page. A sentence rewritten, a figure changed or an image swapped will not appear in the report, because no text or visual comparison takes place. Knowing that boundary is the difference between a useful check and a false reassurance.