Cramped design? Well maybe in some ways...
I sawed off the back part of the two vertical 5.25" bays because it was blocking my CSPPC. But there's tons of space in there... You can even make three 3.5" internal bays above the psu. I'll be doing that sometime.
As for sticking it in an AT style pc tower, you will either have to make your own cutouts for the I/O ports, or look for one with properly aligned cutouts.
-Paul