I have several BTX boards. Just because a board mounts on the left-hand wall of a case does not make it BTX. True BTX, of course, has a diagonally placed CPU. Furthermore, the I/O section is at the top-most end of the board.
The Precision 490, if I'm not mistaken, has two CPU sockets, and neither is diagonal. The I/O section is at the bottom end and the PCI slots are at the top end (when mounted correctly), so in fact it's an ATX that is simply upside-down. I can't imagine how you would move this to a true BTX case. Moreover, the form factor for your motherboard is very large. I've had a very hard time finding BTX cases, and most that I've come across are minis or micros.
I think what you need is almost impossible without at least a little personal modding, since that motherboard is quite obscure. It might be fun to do, but it will take some time. You could almost go with any ATX tower (normal, or reversed like your 490) that is large enough to accommodate your big board. Regardless of hole placement, you'll probably find at least a few holes that align with your own, and you'd need to create the rest.
Best of luck.