With only power supply fan exhausting air, hot air from CPU cooler and other components is entering power supply and being heated further.
The most critical case fan in a P3, Athlon, or P4 system is the rear exhaust fan mounted roughly behind the CPU.
If you have a place to mount a 6 cm or 8 cm fan in rear of case, do so. If not purchase and install a slot cooler placed as close to CPU as possible.
Even with your poor ventilation, 67 degrees C is somewhat high for CPU temperature. Ensure that CPU cooler fan is operating properly. Probably should be 4500 rpm or higher. Remove heat sink, clean old thermal compound, replace with new thermal compound, and reinstall. Follow instructions in link below.
http://www.heatsink-guide.com/compound.htm
A better case with a high quality PSU is also a very good option and should be considered.
Unlike Chas, I prefer that pressure is slightly negative, meaning more flow out than in. That's a difference of opinion, but you definitely have inadequate rear exhaust flow in your setup.
Dalton