>The server then uses the decryption key to decrypt the inner encryption layer and extract the NeuralHash and visual derivatives for the CSAM matches.
This "visual derivative" term shows up repeatedly. To me, the implication seems to be that Apple doesn't look at the actual suspected image before deciding whether to proceed with a report. Instead, I infer that they only verify whether (as the device reports) the image's neuralhash is indeed present in the NCMEC database. If my understanding is correct, their "manual review" process actually provides no protection at all against collisions or erroneous database entries.
Further supporting this, on page 4:
>Apple reviews each report to confirm there is a match
It only refers to a match, not about whether the image appears to be illegal.
This makes perfect sense from Apple's perspective- who would want to be in the business of reviewing reports of probably-illegal images?- but it means that the references to a manual review safeguard would seem to be false reassurance. Maybe I'm misunderstanding the paper.