Now: You upload images to iCloud Photos. When doing so, your device also uploads a separate safety voucher for the image. If there are enough vouchers for CSAM matched images in your library, Apple gains the ability to access the data in the vouchers for images matching CSAM. One of the data elements in the voucher is an “image derivative” (probably a thumbnail) which is manually reviewed. If the image derivative also looks like CSAM, Apple files a report with NCMEC’s CyberTip line. Apple can (for now) access the image you stored in iCloud, but it does not. All the data it needs is in the safety voucher.

Lot of words spilled on this topic, yet I’d be surprised if a majority of people are even aware of these basic facts about the system operation.