So there seems to be an issue for either 4k resolution or the GTX 780 TI GPU in general. This has been confirmed by the users of steam on the steam discussion part of Fallout 4. Included is links to the thread(s) along with screen shots (One will be attached)
Links to discussions:
http://steamcommunity.com/app/377160/discussions/0/496880503081098265/?tscn=1447141129#p1
http://steamcommunity.com/app/377160/discussions/0/496880503081003608/
Additional screenshot:
http://i.imgur.com/uv44Xct.jpg
http://imgur.com/P6dI7JP
System specs:
CPU: FX-6300 (six cores)
GPU: GTX 780 TI SLI (x2)
RAM: 8GB 1600 MHz
Monitors: Samsung 590D (3840x2160), BenQ V2420H (1920x1080)