Hand held, manual focus, Program mode, flash bounced from the right. Cropped.

Other info:

Exposure: f/4 1/60s, ISO 3200
Exposure Mode: Auto
Focal Length: 60.0 mm
Lens: EF-S60mm f/2.8 Macro USM
Flash: Fired, compulsory mode
Metering Mode: Evaluative
Subject Distance: 0.3m
Custom Rendered: Normal process
White Balance: Auto
Scene Capture Type: Standard
Model: Canon EOS40D
Camera Raw
White Balance: Daylight
Temperature: 5500° K
Tint: +10
Exposure: +0.35
Fill Light: 7
Blacks: 8
Brightness: +66
Contrast: +9