I'll echo the other comments and say "deanonymization" is stretching the definition of the word, along with "grab the user's location", as it isn't anything near precise. 150 miles is approx. a 2-hour drive on the highway from Atlanta, GA to Augusta, GA. In that radius, there's probably 700,000+ people.
I do think the auto-retrieve attachment feature of Signal is slightly concerning, as for a private messenger I'd expect there to be an option to turn it off (like turning off JS in Tor). I don't know if I'm not looking deep enough, but there doesn't seem to be a feature for that.
Signal appears to take a useful-by-default approach that balances privacy and ease-of-use in order to encourage adoption by the masses, I'd assume most people that are really concerned are hardening Signal, similar to what is in this guide: https://www.privacyguides.org/articles/2022/07/07/signal-con... . They've always recommended a VPN / proxy + a modification of settings for more high-security scenarios.
Caching isn't going anywhere, and neither is CloudFlare. The DoSing days of old in P2P multiplayer lobbies with exposed IPs seemed to carry more of a threat than this, CloudFlare's response seems to be the best out of the 3. Caching sensitive information is never recommended and the onus is on the application doing the communicating to tell their CDN / middle-service to not cache specific items.