Hand held, manual focus, AV mode. Burned in the white lower right corner, to be less bright and distracting.

Other info:

Exposure: f/4 1/60s, ISO 1600
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: 0.2 m
Custom Rendered: Normal process
White Balance: Auto
Scene Capture Type: Standard
Model: Canon EOS40D
Camera Raw
White Balance: Custom
Temperature: 4575° K
Recovery: 8
Fill Light: 17
Blacks: 9
Brightness: +39
Contrast: +52