Believe it or not:
1. I have tried changing Font Sizes.
2. I have tried changing DPI settings.
3. I have tried changing Theme from Vista to Classic. Same issue even on classic.
4. This machine did not have vista sp2, so I installed that, still no fix.
5. I tried reinstalling the drivers from Dell's website (manf)
6. I tried reinstalling the drivers from NVIDIA website.
7. Tried all the above.