{ {\bf Background:} Knowing the difference between the neutron and proton densities of nuclei is a significant topic because of its importance for understanding neutron star structures and cooling mechanisms. The coherent-nuclear photoproduction of pions, , combined with elastic electron scattering, has been suggested to be a very accurate probe of density differences. {\bf Purpose:} Study the reaction mechanism so as to better access the uncertainties involved in extracting the neutron density. {\bf Methods:} Include the effects of final-state pion-nucleus charge-exchange reactions on the cross section and study the influence of the non-zero spatial extent of the proton. {\bf Results:} The effects of final-state charge-exchange increase the cross section between 6% and 5%, generally decreasing as the momentum transfer increases. This leads to an increase of the extracted neutron skin distance by about 50%. The validity of the previous treatments of the proton size is confirmed. {\bf Conclusion:} The model dependence of the theoretically computed cross section increases the total systematic uncertainty (experiment plus theory) in extracting the neutron skin from the cross section by at least a factor of three. }

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