Hmm...
Well, the radial leads (and voltage rating) may be a bit of a giveaway.

Multiple cells (usually in parallel) might be used to improve eddy current or heat dissipation properties; it's a common method for high-current induction heating capacitors.
Multiple dielectrics (in series) might also be used to handle more voltage, improve losses, etc. (e.g. double dielectric + floating electrode), though this still ends up as a single cell (winding).
Aspect ratio, in general, is just kind of whatever. I'm not aware of any particular reasons why manufacturers choose one form or another -- other than that there's a market for it (a recent very compact PSU design of mine, uses two different shape 1uF X2 capacitors to optimize layout). You'd have to ask the manufacturer -- but chances are, the FAE you'd reach, doesn't know, or can't tell anyway.
These are probably the flattest caps I've ever purchased:
https://www.seventransistorlabs.com/Images/DCDC_800V.jpg They're out there, they exist, but they're not particularly common; that may suggest lower density or higher cost to produce (e.g. lower yield?).
But that's all a bit aside from the particular example shown, with two cells in series. Probably, the folded arrangement was of the most interest, but it's impossible to know for sure.
Tim