Sometimes two image files may be different on a file level, but a human would consider them perceptively identical. Given that, now suppose you have a huge database of image
I don't know the algorithm behind it, but Microsoft Live Image Search just added this capability. Picasa also has the ability to identify faces in images, and groups faces that look similar. Most of the time, it's the same person.
Some machine learning technology like a support vector machine, neural network, naive Bayes classifier or Bayesian network would be best at this type of problem. I've written one each of the first three to classify handwritten digits, which is essentially image pattern recognition.