Per our usual arrangement, it’s nuanced.
AI generated CSAM can use a real child’s image to make content. Unfortunately, it’s being used as a form of sextortion. Source below but if you want a different source they are available via internet search.
https://fox8.com/news/how-artificial-intelligence-is-being-used-for-sextortion/
The federal law 18 U.S.C. § 1466A penalizes the creation, distribution, or possession of graphic portrayals of a minor engaged in sexual conduct.
https://www.govinfo.gov/app/details/USCODE-2011-title18/USCODE-2011-title18-partI-chap71-sec1466A nostr:note1uca8ky8y4y9y7etjaqyq6pv2g4ytvglmxfzkfl08zcv0zardgrzsy73e4d