Before I explain what my monitor is doing, I need to explain what I did.
First off, this is my first arcade monitor. I'm usually a PC monitor kind of guy. The problem I was having was the horizontal width needed to be adjusted. I did this by adjusting the Horizontal Width Coil. I followed the tips as described here:
My horizontal width coil looked exactly like the one in the video. Using a hex key, I adjusted the coil a total of about a dozen turns clockwise with no result. I turned it counterclockwise about a dozen times and it started working. Another dozen turns and the picture filled up the tube. While the monitor does fill the screen, I have a new issue where the top portion of the screen appears to have no scan lines while the rest of the screen has heavy scan lines. Any sprites or images that go through the top portion appear to wave as they go through.
I haven't tried to adjust the coil back. I figured I better ask for help before doing anything else. The image below shows the portion of the screen which is giving me trouble.