I too have found anomalies when putting drawings into Fusion, which of course can measure down to an amazing number of decimal places! I think some of the issues are down to the thickness of the pen/pencil lines abs others due to the impossibility of the human hand matching CAD precision. Then of course you can throw in parallax errors from photos and photos of drawings! My work in progress of a Hawthorn class saddle tank looks different to the drawing, but matches the measurements - all due to parallax issues when the drawing were photographed. Mitigation? Measurements and pictures combined with drawings; and remember absolute fidelity is impossible no matter what sone might think. There is always a compromise!
Duncan