It's helpful to look at both the
ACR–AAPM–SIIM Technical Standard for Electronic Practice of Medical Imaging and an FDA
510K application for a 4k Dell Monitor (example is UP3216Q, but they have submitted other Dell monitors) that was approved when packaged with PerfectLum by Qubyx (page 5.2).
The key points are that the monitor needs to have
Brightness at least 300 cd/m2
Pixel pitch of at least 0.2 x 0.2
Their 510ks use a NEC MultiSync MD322C8 monitor as the comparison. You can compare the technical specifications of a given monitor to that one to see if it will be substantially comparable. Many of the Dell 4K ultrasharp line are comparable.
NEC MultiSync MD322C8
Brightness: 350 cd/m^2
Pixel Pitch: 0.182 x 0.182
Resolution: 3840 x 2160 (4K)
Contrast ratio: 1000:1
UP3216Q
Brightness: 300 cd/m^2
Pixel Pitch: 0.182 x 0.182
Resolution: 3840 x 2160 (4K)
Contrast ratio: 1000:1
For reference, a common diagnostic 3MP monitor that we use is
Totoku ccl356i2
Brightness: 800 cd/m^2 (factory set to 410 and 300; I believe we use 300)
Pixel Pitch: 0.211 x 0.211
Resolution: 1536 x 2048 (3MP/QXGA)
Contrast ratio: 750:1
A 3MP monitor is defined by having 1536x2048 pixels. 2 of them in portrait is 3072x2048 pixels.
A 4K monitor is defined colloquially by having "4K" horizontal pixels. The most common 4K resolution is 3840x2160.
Therefore, a 4K monitor at 32" will be comparable display quality to 2 x 3MP monitors when set as a virtual split, which you can do in software if your PACS is new enough or in hardware by using a virtual side-by-side picture in picture mode built into the monitor (requires 2 display inputs).
A 3MP monitor is defined by having 1536x2048 pixels, which is roughly 3 million when multiplied together. 2 of them in portrait is 3072x2048 pixels, or 6 million pixels when multiplied.
If you do the same multiplication for the 4K monitor, you'll get 8 megapixel. A 4K monitor at 32" will have more pixels than 2 x 3MP monitors.