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Why would anyone bother with such an attack? The end result is that some peon at Apple has to look at the images and mark them as not CSAM. You've cost someone a bit of privacy, but that's it.
It's entirely possible to alter an image such that its raw form looks different from its scaled form [0]. A government or just well resourced group can take a legitimate CSAM image and modify it such that when scaled for use in the perceptual algorithm(s) it changes to be some politically sensitive image. Upon review it'll look like CSAM so off it goes to reporting agencies. Because the perceptual hash algorithms are…
Wouldn't that mean that the system can be poisoned? How would they deal with that?