Hand held, Manual focus, AV mode, bounced flash.

Other info:

Exposure: f/3.2 1/60s, ISO 400
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: 0.3 m
Custom Rendered: Normal process
White Balance: Auto
Scene Capture Type: Standard
Model: Canon EOS50D
Camera Raw
White Balance: Custom
Temperature: 5225° K
Tint: +28
Exposure: +0.65
Blacks: 8
Brightness: +31
Contrast: +19