Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already cover read-only, idempotent, non-destructive behavior, lowering the burden. The description adds meaningful context by describing the result as 'bounded' and clarifying that it is for discovery/review rather than clinical use. It does not describe pagination or limits, but the output schema covers return structure and the annotations cover safety traits.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.