Well it's semi-custom, they might be asking for a variation on different sections, and a few additions, bigger/smaller cache, but there's no reason to reinvent the wheel. We can look at all the other things they were asked for ps4, ps4pro, xb1, xb1x, it was always specific optimizations that were not necessaily helpful or worth it for a PC gpu (more ACEs, esram, even cpu branch prediction biases based on gathering statistics), and even "back port" of feature that are planned for the next gpu (fp16 rpm).
I'm thinking Cerny is a big proponent of fine grain compute, and having more robust priority for audio, so he might ask for latency/priority improvements for audio tasks on the RT section, even if it costs more die space. AMD wouldn't care about that for their PC gpus. It's not necessarily things that AMD didn't think about, it's the details which don't fit their PC gpu business model, but happen to be helpful for the reality of console's fixed hardware and closed platform.