Quite a few people have been running into some concurrency issues with Cache (see #8080, #3938, #6280, voghDev/PdfViewPager#175, etc).
Most likely for all of them they are either creating more than one Cache object on the same directory/file, or accessing it from different threads. But it's not clear from the docs that this would cause a problem.
The doc comment for Cache should be updated to mention that it is not thread-safe and that only one Cache object per directory should be created (i.e. make it a singleton).