The background is good, but the text on the bottom seems a bit gaudy, and some of the medals are a bit rough around the edges. Try using the blur tool (in Photoshop) very lightly to fix that problem.
Also, to prevent cutting off sections of medals like the Untouchable/Grenade Stick, try using the Magic Wand tool with the tolerance turned down.
[Edited on 11.03.2007 6:18 AM PDT]