Also, this XKCD:
People are getting nerd-sniped about hash collisions. It's completely irrelevant.
The real-world vector is that an attacker sends CSAM through one of the channels that will trigger a scan. Through iMessage, this should be possible in an unsolicited fashion (correct me if I'm wrong). Otherwise, it's possible through a hacked device. Of course there's plausible deniability here, but like with swatting, it's not a situation you want to be in.