With regard to Cockney Blue:
Compounds differing from each other in chirality are NOT the same arrangement of atoms. If there is only one chiral center, rather than being the same structure they are mirror-image, differing structures.
With regards to claims of different chemistry if having radioactive isotopes: there is virtually no difference in chemical properties of a given atom with a given differing radioactive isotope during those times (practically all the time) that it in fact has that isotope. The moment that it breaks down though then of course radiation is emitted and molecule is broken into a differing structure. I would challenge you to find a chemical test or reaction, other than what I stated, where you see differing chemical behavior for carbons or other non-hydrogen atoms.
Reason being that the chemical bonds are almost exactly the same regardless of isotope, and there is no large percentage change in mass. (In the instance of hydrogen, however, there is substantial difference.)
Accordingly, what I said – that in practice one doesn’t care about random variations in for exmaple carbon isotopes within a molecule, and calls them the same structure although in fact not exactly the same arrangement of atoms – is the way things work in practice. E.g., one does not care if a given molecule of testosterone has a carbon-13 in a given location or does not. It is a difference that makes no practical difference with regard to how the molecule acts biologically or in any chemical reaction.
(The difference will show up in the mass spec, though, and is a way of discerning artificially-made-from-plant-sterols testosterone from made-by-the-human-body testosterone. And there is a slight difference in rate of some enzymatic reactions, but this is not important because in practice the average composition varies rather little, and the reaction rate differences are small.)
Just to give a concrete example.